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HomeMy WebLinkAboutMiscellaneous - 158 FOREST STREET 4/30/2018 158 FOREST STREET ' 210/106.A-0190-()000.0 c 4 1 :'4 ','1,? r Z{.Yda n ^,'y''Ki 'e, -jl... p.�., v. v �f,(r. S.rQ• '�Yh"C n, N3 G . t w . tf f 6 �`�'.t eF�<yti;,t7; !�d '� •` a�f.. �.+•�M � �-N i {'Itf..._,d ..i..' LOT MAP PARCEL # STREET CONSTRUCTIQN_APPR ._._..., - HAS PLAN REVIEW FEE .BEEN PAID/? / YES NO PLAN APPROVAL= DATE (��0�7/�k� APP. BY-- � --- DESIGNER: PLAN DATE. CONDITIONS f) lyE-z TO R SUPPLY: TOWN WELL WELL PERMIT DRILLER WELL TESTS: C AL DATE APPROVED BACTERIA I DATE f1PPRUVED BACTERIA I I DAT F'PF�UVED COMMENTS: FORM U APPROVAL: APPROVAL TO ISSUE YES NU DATE ISSUED /Z 7�I BY �G� 1_..._ CONDITIONS: FINAL APPROVAL: . ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NU SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NO ANY VARIANCE NEEDED YES NO it�y 10�po FINAL BOARD OF HEALTH APPROVAL: DATE:. ...•_ BY: ._. . i tr � tib,• �• ... .T.'...' - - .f , •- ,, ��T��SY�Z�L`LZ.NSIflL,.t,.gT.�QN - • . w :Jtv' It a: , - .. r 1 _ .'1. :�:�,;•' i°- T t eft;�-'l. ....1 .:1.;,�' . .. rx JSTHE' INSTALLER LICENSED? 1 +} F `. � YES_ . NO E • ­.TYPE. OF CONSTRUCTION: NE REPAIR ,1 NEW CONSTRUCTION: ,..•� CERTIFI,ED PLOT -PLAN ••REVIEW • NO . CONDITIONS ONS OF T : APPROVAL. YES NO — , s (FROM .FORM U) ;`• !: ISSUANCE OF DWC PERMIT E NO DWC PERMIT. N0. / INSTALLER: D �TA)y/_5 J / • : BEGIN INSPECTION0' EXCAVATION , INSPECTION: ; NEEDED: •:r._ .. fir' .. c._. .. ... .. _ .. -. SASSED — ' CONSTRUCTION INSPECTION: NEEDED: AS BUILT PLAN SATISFACTORY: YES: - APPROVAL. TO BACKFILL: DATE: BY " ,FINAL . GRADING APPROVAL: DATE / /77 BY FINAL CONSTRUCTION APPROVAL: DATE: / ByN Town of North Andover, Massachusetts Form No.2 NORTH BOARD OF HEALTH f Oa+•�ao a,�0 F w F DESIGN APPROVAL FOR ;ass"C" � SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Test No. Site Location U—)t- ► .�•t. Reference Plans and Specs G Nn-Qg)- 7 7 ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. CHAIRMAN,BOARD OF HEALTH Fee Site System Permit No. Town of North Andover, Massachusetts Form No.3 ! 14OR7►M BOARD OF HEALTH O R -19 •,�.o �''� DISPOSAL WORKS CONSTRUCTION PERMIT ,SSACHUSEt -. Applicant— NAME ` ADDRESS TELEPHONE Site Location Permission is hereby granted to Construct , or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. 7�! CH AN,BOARD OF HEALTH Fee �� D.W.C. No. 'Cl �"' APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: CURRENT INSTALLER'S LICENSE# LOCATION: /j- 17 ✓ � - LICENSED INSTALLER: SIGNATURE:-2lc`��1/n ,� TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: l�- IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only � �l0 0 01 $75.00 Fee Attached? Yes l/ K�No Foundation As-Built? Yes No Approval z Date: tfORTjb Town of _ AndoverNo.600/. , Q L • z . dove, Mass., j _ /0_ 19 h '9 COCHLAK .1Y',` AOW4 ED�APP`y ty (G -` BOARD OF HEALTH Food/Kitchen Septic System 07, s PERMIT T BUILDING INSPECTOR �� l�' + 3 .. ...... �;,.!, �.. ' ` .......................................................... THIS CERTIFIES THAT................. .X.....�. .�.. :�::....::. .....:..... ' Foundation has permission toLerec4........................................ buildings on ........'.:!� ......... :. :- ,!::.......�:.., :.�................. ougto be occupied as..................�„ 't�,.�y.: . :�' `...... .I'. f ..,F4 r... !. :'i :,:.'r #.:-.'.. ........................................... Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in inal this office, and to the arovisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMB G SP14 CT VIOLATION of the Zoning or Building Regulations Voids this Permit. ��� �a /4oug PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION ST1T,, ELECTR TS C P CTq .........................fir.. .,.......:r.....�:..��:...�: ti~."..........k........ ... ou ` BUILDING INSPECTOR - Final Occupancy Permit Required to Occupy Building As IN CTOR Display in a Conspicuous Place on the Premises — Do Not Remove- ~== Rough No Lathing or Dry Wall To Be Done �NOE��� Un it Inspectedand A roved b the -Buildin s ectgr -� F t PP Y 9 P q mer ✓ ` ,� _____ �] Street No.IS p�d; oke Det. .pr .�� •�. S �- a ENVIRONMENTAL COMPLIANCE EISCWCORPORATION CERTIFICATE OF DISPOSAL/RECYCLING Manifest # : M91202090 This is to certify that the material received from your facility has been managed at Environmental Compliance Corporation (ECC) or another licensed facility which has been approved by ECC in accordance with all applicable federal , state , and local laws, statutes , and regulations . Recyclable material has been blended for use in accordance with all applicable federal, state, and local statutes , laws and regulations at ECC , a licensed facility . All materials consolidated at ECC and subsequently shipped to another licensed facility for treatment and disposal , shall be identified as being generated by ECC . ECC shall indemnify the generator from any claims as result of damage to any property, contamination of , or adverse effects on the environment , any violation of governmental laws, regulations, or orders, caused by treatment and disposal of the material specified on this manifest . Waste Description Treatment/Disposal Method Facility Combustible Liquids IU 5 `l' ECC Oils n . o . s . 4418 Canton St- VA tNA 1270 Stoughton, MA MA 97/98 02072 Authorized by: biar; tc, ", _ Date : 11 30�g6 Wanda M . Kopcych Administrative/Compliance Coordinator Regional Customer Service 1-800-982-0153 441 R Canton Street•Stoughton • MA 02072.617-297-3530 106 Main Street •South Portland •ME 04106 •207-799-7337 COMMONWEALTH OF MASSACHUSL l ' Z) FOR IN-STATE WASTe- DEPARTMENT OF ENVIRONMENTAL PROTECTION OIL ONLY DIVISION OF HAZARDOUS WASTE OR One Winter Street IN-STATE VSQG HW./WO r Boston, Massachusetts 02108 Please print or type.(Form designed for use on elite(12-pitch)typewriter.) 1.Generator US EPA ID No. Manifest 2.Page 1 Information in the shaded areas 1014 UNIFORM HAZARDOUS 6 Document of is not requiredbyFederal law . WASTE MANIFEST - A.StateManifestDocumentNwmbec 3 3.Generator's Name and Mailing Address /�Lt, %lei/ /�, „n L$l tC�����'�S M A J 2 0,G 9 D U&7'1'tc)/�I 0( iSG� t Gen.ID 51Tfro '� ru 4.Generator's Phone 1 } t /cJ —tom rU g. US EPA ID Number C.StateTrans.IQ � 5.Transporter 1 Company Name A C3 T. OT is,�- r T;:j(; 1 A. i A c`3 2 r )1 2 1 8 � _D _5'i TIi g. US EPA ID Number D.Transporter's Phone 1 } I � 0 7.Transporter 2 Company Name tate raps.i nj 9.Designated Facility Name and Site Address 10. US EPA ID Number ­-=i_: ty F.Transporter's Phone 'I'v —G—.—State Faciliys iD f Not Required W0? 5, O _a St / 0I , H.Facility's PhoneIct o� { CV ,•� - 12.Containers 13• 14. I' Total Unit Waste No. 11.US DOT Description(Including Proper Shipping Name,Hazard Class,and 1D Numbed No. Type Quantity WtNol O 00 a. 1)GlJ 1VV i� -etroleim 0,J-11 _,OS �. �. Coriaustible �i.qv�� - 1270 c v at n U H D G b r w E H C N M E m R c. 3 Cr A D m T H C p r .� R d. m - � Z O W K.Handling Codes for` astes Listed ova n *' J.Add' alDescriptionsforMaterialsListedAbo�#hcludephysicalstateandhazardcwdeJ �. M a. C. Z a E:iL - M b. d -� 15.Special Handling Instructions and Additional Information LT i N,g I,- �iq E /i1° G9.�To n/ S T 70 IV A, �C G 5` ST vii f/ 17 fully and accurately described above by CL 16.GENERATOR'S CERTIFICATION:I hereby declare that the contents of this consignment are ;I y proper shipping name and are classified,packed,marked,and labeled,and are in all respects in proper condition for transport by highway applicable international and national government regulations. p according to app' V resent and future t If 1 am a large quantity generator,I certify that I.have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be economically practicable ch nimizes the I and thOR at I have I selected the antic generator,method eth have treat a good storage, effort lom disposal currently my wast availagene generation e to me and elect the bestw waste management method that s hreat to human health labial ohme and that I m Date can afford. I in Si re Month Day Year E Printed?ype131 c Name g 8 L l� Date i , O 4) HA' 17.Transporter 1 Acknowledgement of Receipt of Materials Month pay Year C PUL d/TypedName Signatures L: rlJ r i�C Date �% f P 0 18.Transporter 2 Acknowledgement of Receipt of Materials Month Day Year Red Name Signature e Printed/Typ `. R 19.Discrepancy Indication Space I' F �. A C 1 20.Facility Owner or Operator:Certification of receipt of hazardous materials covered by this manifest except as noted in Item 19.n SiData 1 T gatur M/o/ft/h',Day Year, Y p ed yped N e Form Approved OMB No.2050-0039,Expires 9-30-96 EPA Form 8700-22 (Rev.9-94) Previous editions are obsolete. ` COPY>1 :_ FACILITY MAILS TO GENERATOR I _ (rev.9/90) 1, .. . . 'a Department :of Public Safety Division of Flre Preventlon. and Regulatlon APPUCATION FOh PEnIAT, AND PEn?AT, POFD REMOVAL AND TRANSPORTATION TO APPROVED TANK YARD FUID, Permit ►; '� ; bate. �I— /J 19 9� l,Io • A t4 boder Gtt/, Town or Dbtr +° ,::' C'+� � i 0 k . 0 . t • T- =0 SAFE NUMBER Fee Paid• S a;; s •3 In accordance with the prcvieiondot Chapteb` ��9�i Seo. 98A; M.G.L. , 527 CHR 9 . 00 application is hereby, made by!��1� t/�rGK-G�64tir�uC i R Street Address & City or T n Sighature of applicants Applicants name printed:�w- ' .I�FJi2l� F,or permission to remove and transport ono undergrcusid storage tank from. owner: AAdtess! 1.5 f /mss AY'r- 77 Firm transporting wastes AF/Lc6: T7fK/K C G / -yet .8tata Hazardous waste manifest j 44.4 �L' Approved tank yard t SCLC/�!i6►'Lr: �G/��� , Tank yard Address., `-'ra Type of inert gash f . . . � 6L tank t s Tank capacitys yS— . _ Substance 'iast •0toted I FkEL Date of issue: bate at. expiratios7! .19 signature/Title of Officer grahf;ing permitt ,,:: _�. r XWO KEEP ORIGINAL AS APPLICATtnV ANn ISStlr nt1011PATC Ac nsusr .wars y77a.•,'_,• ox,�'is.' -_._ .�+-':, err; -�.-f-�,. .. - ..+,�- ..0 ;..M,S�.may.v.k«7F'A'ai*ads.�'�yila��.�' .a� •Y .�,;'f`f Pi.-� --r:-5�-rc>. -..«^.rc-^=-::�.�;._.-r .,v.,,�,-..,:-.._-.,-....-�.rs PEIRCE TANK CLEANING, INC. Tcl.: 894-0251 '. . BOX 327 WALTHAM,MA 02254 894-0252. ,t 30'T CUSTOMERS ORDER NO. . SOLD:''TO f Vf tt d4 ad' i 7 k 7 f. u wl4 xk i '` x1 r 2-1 ...Road Andover, MA 01810 TERMS: NET CASH forservices rendered November 15, 1996 at the buildia 11/15/96 site located at 158 Forest Street., North Andover,. in the removal of-a 275 gallon SaA which was later c t and cleaned•,on our premises and subsequently disposed of 340.00 Price..to include cost of ,Fire. Permit and disposal of sludge removed and reported to the Commonwealth of MA on.hazardous ilaste 'Manifest #MAJ202090 V ENCLOSURES i i ' k a i SCHIAVONE BROTHERS, INC D C � k- 16 MAQUII(2E CC',.,RT NEwr0NV1LLE,'#A Address Account Reg.No. Clerk Forward 3 4 5 6 1 _ 7 8 9 w 10 11 (( /`� 12 /��� v � 13 L 14 t 15 � Your nca Account Stand to Data—k Error is Found Return d t STYLE 1200 e i A_.AA16k TOWN OF NORTHTH ANDOVER/ BOARD OF HFALTH THO E. AVE APR 6 ►q ASSO 'r IATE ING. April 11, 1996 Sandy Starr, R.S. North Andover Board of Health 146 Main Street North Andover, MA 01845 Re: 158 Forest Street, Robert Janusz Dear Sandy: We are in receipt of your letter dated April 3, 1996 regarding the above-referenced design. You do realize that this lot currently has a dwelling, well, and cesspool (within 30 feet of the wetland) and that Bob Janusz is going to build a new house for his son who lives in the family homestead, and upgrade the lot to new regulations. We met with you on January 30, 1996 and left the meeting with the understanding that this lot was to be designed on 110 gallon/bedroom/day. Find attached our previous design on 165 gallon/bedroom/day. I would not have redesigned it if I felt the original was what you wanted. Please realize that the bed design is much less intrusive on the lot and will require less regrading and tree clearing. I see no reason to overdesign it. Find attached past plans and correspondence for your reference and a revised plan with perc elevations. Primary is 4' from reserve. The design is based on a perc rate of 15 minutes per inch and on current soil evaluation criteria. Existing peres were 4 and 11 minutes/inch respectively. Also realize that 3 feet of sand fill is required under the system because of the SHWT found. Please advise, as Bob wants to being construction. I will ask Bob Janusz to drop off a check for$60.00. Sincerely, THOMAS E.NEVE ASSOCIATES, INC. C , uWwr_r» Thomas Neve, PE, PLS President, CEO Attachments cc: Bob Janusz TEN/ebc-Tom\305.doc • ENGINEERS • • LAND SURVEYORS • • LAND USE PLANNERS • 447 Old Boston Road U.S. Route #1 Topsfield, MA 01983 (508) 887-8586 FAX (508) 887-3480 Town of North Andover f ,,ORTk OFFICE OF 3�o`t �.o s 11O L COMMUNITY DEVELOPMENT AND SERVICES A 146 Main Street o = . North Andover,Massachusetts 01845 9SSACHUS�t April 3, 1996 Mr. Thomas Neve 447 Old Boston Road Topsfield, MA 01983 Re: Lot #158 Forest Street Dear Tom: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Insufficient soil tests in system. 2. Elevations of peres tests not present. 3. Septic tank not 25 feet to foundation. 4. Leaching area not 35 feet to foundation. 5. Designed for less than 660 GPD. 6. Reserve not 4 feet from primary. In addition, since this is a new design, the full review fee of sixty(60) dollars is required. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 7 9 r NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE: C PERMIT # 799 DATE RECEIVED 9 11;�//17� APPLICANT MAP PARCEL 190 ADDRESS LOT # ENG. /1/EI/E STREET O�ESP 5% ADDRESS PLAN DATE REV.REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: 60/C T eF6T`5 //U z5}/z5TE/V a� , ELGCU�T/ditJS o� ��.eG° TESTS /1J,:�)T TCS /9,e�f� �- PLAN REVIEW CHECKLIST,�/ ADDRESS .=�0> /�� / �•�G�� �7T ENGINEER GENERAL / / 3 COPIES L" STAMP-v LOCUS � NORTH ARROW SCALE CONTOURS t,-' PROFILE SECTIONJZ BENCHMARK N�,�!'�s/SOIL & PERCS ELEVATIONS / /WETS. DISCLAIMER� WELLS & WETS -- WATERSHED?A DRIVEWAY (Eley) WATER LINE 111--*� FDN DRAIN SCH40 t, TESTS CURRENT? SOIL EVAL -j SEPTIC TANK MIN 150OG L,"� . 17 INVERT DROP L"11 GARB. GRINDER(+200% EDF) 25 ' TO CELLAR_ MANHOLE ELEV GW # COMPS. D-BOX SIZE # LINES FIRST 2 ' LEVEL STATEMENT , / INLET 1 J 0 • - OUTLET IJ�F��(lJL� _ Z� (2" OR . 17 FT) TEE REQ'D? /UQ LEACHING ,/ MIN 660 GPD? 4' RESERVE AREA , 4 ' FROM PRIMARY? Ll--," 20 SLOPE 100 ' TO WETLANDS �< 100 ' TO WELLS 4 ' TO S.H.GW L.� (5 ' >2M/IN) 35 ' TO FND & INTRCPTR DRAINS)< 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY f MIN 12" COVER � FILL? ems-' if above natural elev; 10 ' if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min .005 or 6' /1001 ) 4--� SIDEWALL DIST. 3X EFF. W OR D (MIN 6' ) !/ RESERVE BETWEEN TRENCHES? y^ IN FILL?Z-'� MUST BE 10 ' MIN. t, 4" PEA STONE? V/� VENT? t,-� (>3 ' COVER; LINES >501 ) BOT 79 R + SIDE 396 X LDNG ,I-6 = TOT wl (L x W x #) (DxLx2x#) (G/ft2) Copyright © 1995 by S.L. Starr THOMAS E. NEVE ASSOCIATES, INC. Engineers 9 Land Surveyors • Land Use Planners 447 Boston Street US #1 TOPSFIELD, MASSACHUSETTS 01983 p p DATE 1 (500) 887'8-34 ATTENTION G - _ `�(Q FAX (508) 887-3480 j r65t'_l TO �Ar�p1ZA �' �'+�'� RE: Jf •tea/ �1 WE ARE SENDING YOU Attached ❑ Under separate cover via ^ � ollowing items: > El Shop drawings Prints El Plans S AlesEl`Spec ficatiolns ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION saw--.J% Qt-Pwa Sv%&%.z t+.3 ca -T ir- QwOVt_­Sc=V> Qd j:b(_ '9rCS'VeVv► fit- t5 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS DV-AC- SA►.iP`C: Pt_EASg Vrtwttp 3 of -rVAF. P_EV1sEc� SN.attAiar`t IMIAC- a Fe, t_c--r IS&, F-car-esrt- 4.90T. F"L4r 5"#*.-s-r -ro -sv�srz - D��aP f-ouL.a w t...,s c=q Ge-1p*a Gor-S. iwhorE 04r26-1 rWpC;:e �c. �n satt�t� �cJ'IArSc-{S+�IE�D w t-ru w -Is, ccc S`ESrr Cy1►t! got Lc V 4t..t 1 Ac To A�+3C Ftt�t_ Z1a Q+"t Ntr�s$! P SSESSoeJS rn RP PA�•GE-�� wtv ,, E�CtS Tt.+-a w fes_ To $E �Ze,�-�c-�. -L'n ''Z111E_ �-tt'�jrvt �AvE. B� �taEfl. �t>�at�...`-� t�•sC! t�.�tc,t_ g� Q�.QvES�tla G $'f6rtiE2vt -i0 Fou1•4DA,^Cta� fa�.AltJ 'its Q�QVES�T Wtt� gt44 waioE, �3`� �► p�[�A tJc^('Td� WS wE�•L $E i>tSG.�SS�.•strr T�tS wt a-tt't�, a-t �tuti¢.. Ke�►c-T t3.c�}. �E.-t t>�� o� .SAia. 25. -cHa'�� -tbu Go+t._ Oc.t rvt� 1 aU t. COPY TO RECYCLED PAPER: SIGNED:Contents:40%Pre-Consumer-10%Post-Consumer ff enclosures are not as noted,kindly noti us at once. 1 !!4 Iz- ot"ll Z-;4, PLAN REVIEW CHECKLIST ,�/ ADDRESS 7k6 - 57- ENGINEER GENERAL y / 3 COPIES Lf STAMP/S LOCUS NORTH ARROW SCALE CONTOURS u/ PROFILE LL-`*'�SECTION S^ BENCHMARK N tH 'SOI L & PERCS 4:::��ELEVATIONS-L� WETS . DISCLAIMER,. WELLS & WETS WATERSHED? DRIVEWAY &v (Elev) WATER LINE �/ FDN DRAIN�� SCH40 TESTA CURRENT? SOIL EVAL ? SEPTIC TAN / MIN 1500G .17 INVERT DROP GARB. GRINDER t� (+200$ EDF) 25 ' TO CELLAR MANHOLE ELEV ✓ GW # COMPS. D-BOX SIZE # LINES pn FIRST 2 ' LEVEL STATEMENT / 3 1,5� a� INLE - OUTLET--kf - (2" OR . 17 FT) TEE REQ'D? LEACHING MIN 660 GPD?rr RESERVE AREA &%� 4 ' FROM PRIMARY?'Zl-' 2% SLOPE �/ / TWV No 100 ' TO WETLANDS ('-' 100 ' TO WELLS' P TO S .H.GWI (5 ' >2M/IN) .r / 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPPc� 4 ' PERM. SOIL BELOW FACILITYr6,�MIN 12" COVER FILL? L "'eW if above natural elev; 10 ' if below) BREAKOUT MET. TRENCHES MIN 660 gpd>Z SLOPE (min .005 or 6"/100 ' ) �� SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL?MUST BE 10 ' MIN. 4" PEA STONE? VENT? &-`�(>3 ' COVER; LINES >50 ' ) BOT + SIDE � X LDNG � `�� = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright © 1995 by S.L. Starr Town of North Andover 0f NORTH , OFFICE OF 3� `tt to e•6�40 COMMUNITY DEVELOPMENT AND SERVICES ° ; p 4 � * • 146 Main Street ,, •,r,o.,�`t5 North Andover, Massachusetts 01845 9SSACHUS�� (508) 688-9533 December 7, 1995 Mr. Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lot #158 Forest Street This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1/1) Benchmark not within 75 feet of system (310 CMR 15. 2209) . v2) Who is soil evaluator? 3) Leaching area less than 35 feet to foundation drain. 4) System less than 100 feet to wetlands according to NACC. 1.1/5) Please update fill requirement note to reflect current regulation. (see enclosed) �) Please add assessor map and parcel numbers (N.A. 6. 02a) . 7) Are there any wells, including old unused ones within 125 feet of the system? (N.A. 6. 02n) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sand' ra Starr, R.S. Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nicetta Michael Howard Sandia Starr Kathleen Bradley Colwell PLAN REVIEW CHECKLIST ADDRESS /S-8 �D,PF�T ENGINEER GENERAL 3 COPIES i/ STAMP LOCUS NORTH ARROW SCALE CONTOURS 4-""' PROFILE �� SECTION 6-� BENCHMARK SOIL & (50r or-5ys7;e,& PERCS ELEVATIONS WETS . DISCLAIMER WELLS & WETS WATERSHED?- DRIVEWAY L" (Elev) WATER LINE FDN DRAIN SCH4 0 c/ TESTS CURRENT? SOIL EVAL �JTCVE .1J U�S� SEPTIC TANK MIN 150OG . 17 INVERT DROP GARB . GRINDER(+200% EDF) 25 ' TO CELLAR MANHOLE ELEV GW # COMPS . D-BOX SIZE # LINES j FIRST 2 ' LEVEL STATEMENT INLET �� Sj" - OUTLET /S$ 3S = ZO (2 11 OR . 17 FT) TEE REQ' D?,&2� LEACHING MIN 660 GPD?Z RESERVE AREA v 4 - FROM PRIMARY? 2% SLOPE TO 86- 'g6n,JD6N6D 100 ' TO WETLANDS �/�1001 TO WELLS •'< 4 - TO S .H.GW (5 ' >2M/IN) 35 ' TO FND & INTRCPTR DRAINS 325 ' TO SURFACE H2O SUPP 4 ' PERM. SOIL BELOW FACILITY ? MIN 12" COVER '-� FILL?�� (25 ' if above natural elev; 101if below) BREAKOUT MET? TRENCHES MIN 660 gpd SLOPE (min . 005 or 6"/1001 ) SIDEWALL DIST. 3X EFF. W OR D (MIN 61 ) RESERVE BETWEEN TRENCHES? IN FILL? MUST BE 101 MIN . 411 PEA STONE? VENT? (>3 ' COVER; LINES >501 ) BOT + SIDE X LDNG = TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright Q 1995 by S.L. Swrr PITS MIN 660 LEACHING MIN 1 (13 'x16 ' ) PIT MANHOLE/PIT GW MIN 4 ' BELOW BOTTOM EXC 2x EFF W OR D 12"-48" STONE BOT + SIDE x LOAD = TOTAL (L x W x ##) (2x(L+W)xD x #) (G/ft2) CHAMBERS MIN 660 LEACHING GW MIN 4" BELOW COVER >3 FT - VENT MANHOLES 12"-48" STONE SPLASH PADS SLOPE .005 BED/TRENCH (Bed max. 60 ' X 601 ) MIN 13 ' X 16 ' PIT BOT + SIDE X LOAD = TOTAL (L x W x ##) (2 x (L+W)xD x ##) (G/ft2) FIELDS MIN 660 GPD 900 ft2 BED GW MIN 4 ' BELOW BOTTOM OF FIELDc/' PIPE ENDS JOINED? -� 4" PEA STONE? L-�' DIST LINE SLOPE .005? >3 ' COVER-VENT SCH 40 MIN 12" COVER ' RATE A5rA--'LDG • &Z X 660 = 7100 X : SZ= TOTAL G/ft2 REQ'D (ft2) LXW DOSING TANKS AND PUMPS DIMENSIONS X X = PUMP CAPACITY 9Pm L W D Vol . DISCHARGE SIZE DISCHARGE RATE DISCHARGE TIME 9Pm MANHOLES TO GRADE ALARM SEP. CIRC. GW (Min. 1 ' below inlet) HWL LWL CHECK VALVE BLEEDER HOLE MANUAL OP. SWITCH Copyright 0 1995 by S.L. Starr 1 NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE: PERMIT # DATE RECEIVED MOV, 31, 995 APPLICANT J /9 A)05 MAP PARCEL ADDRESS LOT # /<J-8 ENG. IU&V6- 1 5506 STREET ADDRESS ,447 PLAN DATE QCT 31, REV. DATE CONDITIONS OF APPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: V6T y �;j-� Q � 5 j/ST��'1 ti N � , Lt)Cf0 i6 tel?/G G`I/�•�-UK'ro.e � vim, v y5 J'��/i'f L-E55 '/�-i}A4) /DO ! TO GU CTL i4�V 1>5 f9C GOA D/1L7 6 �Gcgs� f �����Qul,��/��/UT ivorE•Ta T/�E.�� y Cv &GS !NC L v A !!VG 0 G /J , viVUSFL> D/✓ J, ov /9 Town of North Andover t NORTH , OFFICE OF 3?0�`, 16 COMMUNITY DEVELOPMENT AND SERVICES A 146 Main Street �, ",,,,,-.:•"�5 North Andover, Massachusetts 01845 4SSACNuSEt (508)688-9533 December 7, 1995 Mr. Thomas Neve Neve Associates 447 Old Boston Road Topsfield, MA 01983 Re: Lot #158 Forest Street This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1) Benchmark not within 75 feet of system (310 CMR 15.2209) . 2) Who is soil evaluator? 3) Leaching area less than 35 feet to foundation drain. 4) System less than 100 feet to wetlands according to NACC. 5) Please update fill requirement note to reflect current regulation. (see enclosed) 6) Please add assessor map and parcel numbers (N.A. 6. 02a) . 7) Are there any wells, including old unused ones within 125 feet of the system? (N.A. 6. 02n) If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D.Robert Nioetta Michael Howard Sandra Start Kathleen Bradley Colwell 4 15. 255: Construction in Fill (3) 'Fill material for -systems- constructed infill shall consist of select on-site or imported soil material, free from organic TLMt:ter and other deleterious subsibances—. Mixtures and ±ajers of different %.;±asses of soi± sha±± not be two and five minutes per inch, before and after plaCeRlent. :...:..........................:......................... ... ....................... .....:...: . ::,:::.::::::::::.:::r::..::::.::::.::::.:::::::::::::::: ....�..... ::::::: ::::::.:•.;........ ... :i:::i::::::::i::i::::::isii:I'::?iji!i:'iSi:iL:!i`ii'Sii:i:i::ii::ij::i::ii: ::<;?...�:::.�. •n:•. v::.:}'.:. ..:::..�:::::::::::.�:.�.�::::::::::: >::>:::::: "St " s<:«: ter mus...... �.. .. .an. . .s............... x ure ::>::ariel e ' �as'se .... . . . ..... . ............. c�t... ae � the ::<::::::<:<::: >::co . ::an:. ::»: nater: as > r r<a3i ::> »> :.:.,. :::::.:::.. :.: �.....��..._::s i 1. :.::not.:::....:..n r.:::.:....:. :.:::.............:..:::...::.:::::..... g. .:... hes:..::. :::::.:: .::::::.:.::::..:...............................:..:.....................::::.::::n.:::::::::::.::.:::::::::::::::.:::::::: <<>s <>€aa ;>> >` :::fps;.; >`< :<m : :r' :s>: ><� �a�' >>� .... .........s . .fit . .... . .� . .�`�n..c�.....�n.:...a ht ae : :::.:.::::.::::::::::::....n..:Y..:...:...:...�3...........................:..:.. � >#'S�� �Y> >> ].�....2:..r�2'1�,�.: ct o ::>:: x <;::>tYe>::> :z:l l>::»:s ...:......:.............::::.......:.::::...........:.::.............:::::...am ......:1 ::.. :.:::.. ..... uc ... . ....sus...#tt::> ezozs <' at:<:;the P ::::::::::::::::::::::::.::::::::::::::::::::::::::::::::::::::::::::::::::::.::::::::: .. :.... : SM OT ......:::..:....:..:..::.::.:..::.::..::..:..:.....;;:.;;:.:;.;:.;:;::;::;;;:.:.: ;;;:.;:.;;:.;:.;:.;:.;:::::.: is5i:;is33ii;::)i:..............%i:......:;.:;:: ::•;;;;:>. is33:. :::: ;i; iiiiii:<:::::i:::::::::55:::i......... .. .:...... .:............:.... ..:..:................................ :::. ::::::::::::::::.:::::::::::::n.:::::::::::::::::::::::::::::::::::::::::. :::::n.::::::::.�n�nw:::::::nv::::::::.:::.: ::.:_.� ......... .... ...................................................................................................................................................................................................................... % ........ . f#:..:::::.:::: ::::.::.:::::.:::::::::::.. . ............................................................................:......:...:..:..::...:...:::::...::...::............ :::.::::::::::::::..:.::::::.::::.::........::.::.: ::::::.:::.::..::.:.....:.:.........::::::::...::.....::::.....::.::.:::::.....:::.::::::: ....:::..::..:::.:::::::.::. ::. .»:..:....::..:::::.....:...::...:.::....li_e.:::s. . V ... a.::.....a....::ri.:: :::t..i... : % sow .:n . ...................... . ...... ...............:n....: .: l :a : Ye s:.q?::::::::.8l :>: . G .: : :: ... ::: ..::...........W : ...................:............ fo_ : i. g... graph WELL DATABASE ADDRESS: AGE OF WELL. WELL DRILLER: WELL PERMIT#: WELL LOCATION: WELL PERMIT DATE: DEPTH OF WEL TYPE OF WELL: a.. DRILLED b. DUG C. OWN TYPE OF WATER BEARING ROCK:. WATER ANALYSIS DATE: Fu GANESE: Y N HIGH IRON: Y N OTHER CONT ANTS: Y N WELL DATABASE ADDRESS: AGE OF WELL: WELL DRILLER: WELL PERMIT#: WELL LOCATION: WELL PERMIT DATE: DEPTH OF LL: TYPE OF WELL: a.. DRILLED b. DUG c. UNKNOWN TYPE OF WATER BEARING ROCK: WATER ANALYSIS DATE: HIGH MANGANESE: Y CNID HIGH IRON: Y �N� OTHER CONTAMINANTS: Y N FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: fd&0- JySy Phone LOCATION: Assessor's Map Number Parcel Subdivision ,V- 4 - Lot(s) Street e St. Number �S Use Only************************ RECOMMEND ONS OF T CENTS: ill-�� Date Approved Conservation Administrator Date Rejected Comments � ( Date Approved Town Planner Date Rejected Comments Date Approved Food Inspectoor-Health Date Rejected / Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date FORM - U - LOT RELEASE FORM IN 1 nUCTIONS- This form is used to verify that all-necessary approval/permits from 1-30_ � I Boards and Departments having jurisdiction have been obtained.This does not relieve the applicant and or landowner from compliance with any applicable requirements. ....tt..t.t.....t.t.t.■tttttttt.■ttttt.ttt....■.tt..tt.....tt.t.tt...ttt.t.aa APPLICANT V �J(_ `^1 v, ti PHONE ASSESSORS MAP NUMBER b(D A LOT NUMBER STREET I STREET NUMBER sotst...Mom..t..soma OZONE■..t....ass.....ass■■.........ass t.........man.t..■ OFFICIAL USE ONLY RECONIlbIENDATIONS OF TOWN AGENTS DATE APPROVED CONSERVATION ADMINISTRATOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOODINSP TOR- TH DATE REJECTED - DATE APPROVED Z A LF-) J �,,,,�IN&sCTOR-HEALTH DATE REJECTED / COMMENTS f7 1� -tom r l Yazary-•- E l,i Ste.Z4,G PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE f i z� I o L7 Ar � 2 r 7-0 GJ ���cn -� (L ZA eQ 12Y A , I i � � 'l �j� 04 j e� FORM - U - LOT RELEASE FORM "ice+ S� (��S.ew(,o INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards.and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. ...r........... .............. .............-■.f....soon Woman.....a........■ APPLICANT 1A, hl c7 PHONE ASSESSORS MAP NUMBER �' LOT NUMBER "SUBDIVISION £ --� _.._ STREET � .. �.Z 5. ...... .< ....STREE'I'..NUMBER...C . onownso OFFICIAL USE ONLY RECOARvIENDATIONS OF TOWN AGENTS INONE..won.....e............................■........r...now................ DATE APPROVED CONSERVATIONADNE IISTRATOR DATE REJECTED CONIlv1E M DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED 1W6161 CONAffiNIS r r PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMEITr DATE REJECTED COMMENTS RECENED BY BUILDING INSPECTOR DATE ck U 9b ✓� C2 . NQ s� � aazS e,Z 4 Aut - J Uop w .100, . 2 r �t y. t p Robert Janusz / Forest St. APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPA RTNENT - NORTH ANDOVER, MSS. I hereby make application for a permit for a sewage disposal installation at Forest St. . I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank where the grade shall not exceed 2%. I will install a con- crete septic tank o ag_1• in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of 180 lineal (s tEg) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia. ) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia. ) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DA TE / 9 6 I Signatury of Applic I hereby issue the above permit for the Board. of Health of the Town of North Andover, Massachusetts. DA TE gnature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE EV -7 -4 Signature of Ihstecting Officer Percolation Test ' min. Soil: Saugus;ay Garbage Grinder No June 24, 1961 Miss Marg Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination was made as requested in order to..determine the suitability of the soil for the subsurface disposal of sewage on the proposed Forest Street building site of Robert Janusz. The land in general is high. The subsoil in the area was of sandy clay content and a 3-ninute percolation test was conducted. It is recommended that a 750 gallon concrete septic tank be installed together with 180 lineal feet of drain pipe. Very truly yours, William J. Dlecoll WJD:hd BOARD OF HEALTH / TOWN OF NORTH ANDOVER9 MASS. G 1. NAM ! :" -. . . . . . . . DATE . •�'".Z y .� 5' �P Q 2. ADDRESS .�. 2a:'' :�. . '. LOT NO. .• . TEL. S,? 4 D 3. NO. OF BEDROOMS . DEN YES . . . . NO.. . 4• GARBAGE GRINDER YES NO.. 5. SHOW DIT-VISIONS OF HOUSE 6, SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7, SHOW DTIZIZIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 90 NOTE LOCATION AND DISTAM OF WELL FROT.1 S57ERAGE SYSTE1.1 10. SHOW LOCATION OF BROOKSq STREAI09 DITCHES, LEDGE OUTCROP, ETC. Il. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD HE READ CAREFULLY. Plan Of L an d I In _ vi i nndio VeiMass: I. s sho.winq _ _ - �, "As—Built " Foundation Location Lot 158 — Forest Street Prepared For I � � Robert J. Janusz I December _n 1 QQDGfe F, o A �bs- �.y � 1 ,��• Zoning Dis tric t: R— I (Residence 1 District) AYprc✓ subdvision I Under R-2 Zoning) Joseph E'laz Note: Property line data taken from a detention or pian by Thomas t %Veve Aissocictes, inc.,dated vov— � ent F ember 76, 1995. 143 0 ° Lot 158 w + / f.. r, Q N i iYi ri r'y vpinivii, the proposed D►Jeii'iig >3^ iiv t ;ii GTop Of Foundation/ �V V N -�(r Flood Hazard Zone as shown on the U.S.D.H.U.D. Elevation = 184.95' O2,A 0+ 45,240 Si • Flood Hazard nounaarMaps, Community Panel vely m o o4 1.04 A cre ? No. 250098 009 C, Revised to June 2, 1993. A � n 0 / ( 00 y l hereby certify that the foundation on this property I sZ, is located as shown and complies with the 06zoning requirements of the Town of North Andover, 12 0.00' �s Massachusetts c A6 Cb� 4/1Wo re I ' P OA Pro aMoi �, rveyor I / s A7�,VACC) \1 Thomas E. Neve Associates, Inc. Engineers — surveyors — Land Use Planners 447 Old Boston Road - U.S. Route 1 T p sfL,::V,/, Massachusetts 0198) 887-8.536 305-158-CFP Plan Of L and /n � Rl North Andover., Mass. 4 TOS^� Z'-C, CT v3` ,=`' a;-A ' showing "A s—Built" Soni tart' D ' osal Sys tem 22 tgg� u Lo t 158 - Forest Street tci1i`� s �- Prepared For �t G � Robert J. Janusz Scale: 1" = 40' Date: April 17, 1997 2 T enches Trench System.6 tLong, �S?.6*a� a��ersb� 4' Wide, 12" Deep 6 / hereby certify that l have inspected the construction of 3 this disposal system and that the construction and final Vent 1 grading has been in accordance with the designer's intent I H _ C — _ _ so.' _ _ JAZ and that the materials used conform to the plan �. P1 6,, Joseph specifications and 310 CMR 15.0. Irl Elaz 23' ent Far gond This plan has been prepared for the purpose of showing Pe l B •ti o Lot 5Q the "As—Bui/t" nditions of the sanitary disposes/ system � [,JJ installed on the remises. All work was done m substantial rn 12, ° w q conformance with the design plans as prepared and field changes E 2 D o 45,240 S.F. approved by the design engineer and B.O.H. agent. All work was 'Q G 1.04 Acre done within the construction limitations expected for a job 5 F A A� y of is type. D—Booz Sep tic Tank O cV ,,,,/ (1500 Gal.) 120.00' o CL w---f ao y A5 Desi ng ff Date O Nkis'sAl. Water Service � �Unaof mootin ) M ; ,X A(o Lot 15A. Schedule of Inverts Schedule of Tie Distances Invert 9 Foundation = 161.93' AD = 3.7' AF = 30.9' BH = 45.7' Sep tic Tank In = 161.53' BF = 40.0' CH = 30.3' Sep tic Tank Out = 161.30' D-Box /n = 160.41' AE = 19. 1' AG = 44.7' BI = 54.4' Thomas E. Neve Associates, Inc. D-Box Out = 160.23' BE = 26.7' BG = 50.4' Cl = 43.8' Engineers - Surveyors - Land Use Planners Trench In = 160.04', 160.09' 447 Old Boston Road - U.S. Route 1 Trench Out = 159.59', 159.61' Topsfield, Massachusetts 01983 887-8586 305-158